NPI | 1619134277 |
---|---|
Entity Type | Organization |
Authorized Contact | DEMI ECHI-ABOLI Billing Department Director 208-360-1038 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2008-05-21 |
Last Update Date | 2025-02-19 |